ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 223
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Patient–provider concordance in the assessment of primary
care attributes in Chile
Dr Diego Garcia-Huidobro1,2, Cristian Gonzalez3, Alejandra Fuentes3, Mauricio Fuentes3, Carla
Muñoz3, María José Fernández4, María Oriana Diaspro-Higuera1, Soledad Martinez-Gutierrez3
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Department of Family Medicine, Pontificia Universidad Catolica de Chile, 2Department of Family
Medicine and Community Health, University of Minnesota, 3School of Public Health, Universidad
de Chile, 4Servicio de Salud Metropolitano Sur Oriente
Background
A strong primary care system is associated with population health outcomes. The Primary Care
Assessment Tool (PCAT) was developed to measure primary care functioning from patient and
provider perspectives. Although relevant to have both perspectives, frequently these evaluations
are not integrated.
Objective
To report patient–provider concordance assessing primary care attributes.
Method
Primary care attributes were measured in 23 primary care clinics in Santiago, Chile. Patients
and providers were invited to complete the Chilean version of the PCAT, measuring primary care
attributes, including first contact access and utilisation, ongoing care, coordination with specialists,
comprehensiveness of service available and provided/received, family centredness, community
orientation and cultural competency. Attribute and overall scores were calculated for each participant
type at each clinic. Concordance between patient and provider perceptions was explored using
several strategies, including statistical (Pearson correlations, discrepancy scores [the difference
between patient and provider perceptions] and four discrepancy and concordance categories
[concordance on high scores, concordance on low scores, discordance with patients reporting higher
scores than providers and discordance with providers reporting higher scores than patients]) and
graphical (using bar and spider graphs).
Results
In all, 1360 patients and 504 providers completed PCAT assessments for the 23 primary care clinics.
Score concordance was only observed for the attribute coordination with specialists. Perceptions of all
other primary care attributes diverged between patients and providers.
Conclusion
Low concordance between patient and provider perceptions of primary care attributes was observed.
Future studies should assess the impact of these perceptions on health indicators and the different
strategies to better understand the meaning and impact of patient and provider assessment
discrepancies.
Funding
This project was funded by the Fondo Nacional de Investigacion en Salud #SA19I0202.
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